Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Facility		$12.99	$12.99	$12.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $13.74 / $23.32	Professional		$11.38	$13.74	$23.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $21.49 / $44.93	Professional		$19.59	$21.49	$44.93
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.08 / $35.33	Professional		$31.08	$31.08	$35.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $17.61 / $35.33	Facility		$2.40	$17.61	$35.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $16.18 / $37.10	Professional		$2.19	$16.18	$37.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $41.85	Facility		$15.88	$15.88	$41.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.88 / $28.50	Professional		$13.50	$15.88	$28.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $22.19	Facility		$15.88	$15.88	$22.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.88 / $20.84	Professional		$12.04	$15.88	$20.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $25.26 / $36.42	Professional		$20.20	$25.26	$36.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.99 / $27.22	Professional		$8.88	$14.99	$27.22